An unusual presentation of a huge seroma following ventral hernia repair

Background: Seroma is a well-known complication of postoperative ventral hernia (POVH) repair. It occurs during the immediate postoperative period and usually resolves with or without drainage within 4-6 weeks. The case presented herein is interesting in that a huge seroma appeared 6 months postoperatively. Ten litres were evacuated in each of two consecutive hospitalisations. The final outcome was a complete recovery with no mesh infection and no residual seroma. Of interest are the diagnosis and treatment of this unusual clinical presentation of seroma after POVH repair.